You unlock video poker themes by leveling up your games. You get your first theme unlock when you level up a game to game level 10. You'll get your next theme unlock when you level up a game (whether it be that game or another game) to level 20. This will continue until you level up a game to level 50. After that you will get another theme unlock when you next reach game level 75, and then every 25 levels thereafter.
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